Ingqikithi ye-Hip Replacement ifuna ukuthi ikhule ngokuhambisana neziguli ze-Arthritis
Ukuqotshwa kwe-hip okuphelele kwaqalwa ngo-1962 nguSir John Charnley waseNgilandi. I-replacement yokuqala ye-hip eyamukelekile yokuqala ye-FDA yasungulwa ngo-1969. Ukushintshwa okuhlangene kwaba enye yezinto ezibaluleke kakhulu zokuhlinzeka ngamathambo ekhulwini lama-20. Unyaka ngamunye e-United States yedwa, kunqunywe indawo engaphezu kwezingu-285,000, futhi inani kulindeleke ukuba liphindwe kabili libe ngu-573,000 ngonyaka ka-2030, ngokusho kwenkathi ka-Mashi 6, 2008.
I-prostitution yama-hip replacement prosthesis, evumela ukujoyina i-hip eyonakele, iqukethe izingxenye ezintathu:
- indebe yepulasitiki ethatha indawo yakho ye-acetabulum (isikhwama somlenze)
- ibhola lensimbi elifaka inhloko yesifazane
- i-stem yensimbi ehlanganiswe ne-shaft ye-femur
Kukhona futhi ukufakwa esikhundleni se-ceramic hip kanye nezinye izindlela zokwenza esikhundleni se-hip esikhundleni - isibonelo, uhlelo lwe- Birmingham Hip Resurfacing System .
Ubani ofuna ukushintshwa kwe-Hip?
Umsebenzi ojwayelekile we-hip udinga ukuhamba futhi wenze cishe yonke imisebenzi yakho evamile yansuku zonke . Uma i-hip yakho ilimele noma uma ibuhlungu ngenxa ye-arthritis, ungathola kunzima ukwenza imisebenzi yansuku zonke ngaphandle kwezinsiza zokuhamba . I-osteoarthritis , i- arthritis ye-rheumatoid , kanye ne-arthritis ehlukumezayo yizinhlobo ezintathu ezivamile kakhulu ze-arthritis ezibangelwa ubuhlungu be-hip.
Isiqunto sokuthi uhlinzekwe esikhundleni sokuqashwa kufanele senziwe nomndeni wakho, udokotela oyinhloko kanye nodokotela ohlinzayo.
Cabanga ngalokhu okulandelayo. Ingabe unayo:
- ubuhlungu be-hip obuphazamisa imisebenzi evamile ehilela ukuhamba nokuguqa?
- ubuhlungu be-hip obuphikelela lapho bephumula emini noma ebusuku?
- ukuqina okuhlangene esikhwameni esithinta ukuhamba noma ukuphakamisa umlenze wakho?
- Usizo olungenakulinganiswa oluvela kuma- NSAID (izidakamizwa ezingezona ukuvuvukala)?
- ukusizwa okunganelisi okuvela emithini yezinhlungu ?
- ukuthuthukiswa okunganele emva kokuzama ukwelapha umzimba , ukusebenzisa amadivaysi okusiza kanye nezinsiza zokuhamba?
Uma uphendule yebo kuningi noma yonke le mibuzo, ungase ube ozobhapathizwa ukuze uhlinzeke ngokugcwele ukuhlinzwa esikhundleni.
Ngabe umguli ngamunye uhlolwe kanjani ukushintshwa kwe-Hip?
Ngenkathi iziguli eziningi ezitholwa ukuhlinzwa ngokugcwele esikhundleni se-hip ziphakathi kweminyaka engama-60 no-80 ubudala, zikhona iziguli ezincane nezindala ezinemiphumela ephumelelayo. Ubudala akuyona eyona ndlela kuphela uma iziguli zihlolwa ngokuhlinzwa ukuhlinzwa esikhundleni - inqanaba lobuhlungu nokukhubazeka, futhi impilo ejwayelekile nayo ibhekwa.
Ukuhlolwa kwe-hip esikhundleni sokuhlinzwa kuhlanganisa:
- umlando wakho wezokwelapha
- ukuhlola ngokomzimba ukuhlola ukuphakama kwe-hip, ukulungiswa kwe-hip, nokuqina kwe-hip namandla
- x-ray ukucacisa umonakalo ohlangene
Ezinye izifundo ze-imaging noma ama-bone scans ngezinye izikhathi zisetshenziselwa ukuhlola isimo samathambo namathambo athambile we-hip.
Ingabe Ukulindela Kwenu Nge-Hip Replacement Kuyiqiniso?
Iziguli ezihlela ukuhlinzeka ngokuhlinzwa esikhundleni se-hip kufanele ziqonde ngokugcwele ukuthi yini okufanele zilindele ngaphambi, ngesikhathi, nangemva kokuhlinzwa. Ekuqaleni nasekuphuculeni konke, isiguli kufanele sigxile emigomweni eyinhloko yokuhlinzeka - ukuphulukiswa ubuhlungu nokusebenza okuthuthukisiwe kwe-hip (ukuphinde uthole amandla nokuhamba okuhle okungcono).
Phakathi nezinyanga ezingu-3 zokubuyiselwa, kuzoba neminye imikhawulo yokuvimbela ukuhanjiswa kwe-prosthesis entsha. Uzofundiswa ukuthi uhambe kanjani nokuthi ungakufanele ukuhambisa kanjani. Ungase udinge amadivaysi okusiza njengesihlalo sendawo yangasese esikhulisiwe , abahlaziyi abasebenza isikhathi eside, indwangu yokugqoka, usizo lwe-sock, kanye nama-cushions eqinile. Iminye imikhawulo izoba yesikhashana futhi abanye bangapheli.
Imisebenzi ethile, efana nokugijima, ukugijima, imidlalo ye-jumping, imidlalo yokuxhumana, kanye ne-aerobics ephezulu yokuthinta imithwalo yemithi izobe isemikhawulo ngemuva kokuhlinzwa nokuphila kwakho konke. Kodwa ngisho nangokusetshenziswa okujwayelekile, ngokuhamba kwesikhathi i-hip prosthesis iqala ukugqoka futhi ingakhululeka.
Uma lokho kwenzeka, uzodinga olunye ukuhlinzwa, okubizwa ngokuthi ukuvuselelwa kwe-hip replacement.
Ingabe Ulungele Ukuhlinzwa?
Udokotela ohlinzayo wamazinyo kanye nabasebenzi bakhe bazokuqondisa ngokusebenzisa isimiso sabo esivamile sokuhlinzwa okuthathwa esikhundleni se-hip. Bayokunika usuku lokuhlinzwa futhi banikeze isimiso sokuthi yini okufanele yenziwe ngaphambi kokuhlinzwa - kusukela ekuhloleni umshuwalense wezokwelapha, ukuhlola ngaphambi kokuhlola, ukunikela ngeminikelo yegazi uma idingeka.
Uma konke kulungiselelwe izindaba zangaphambi kokuhlinzwa, uzonikezwa ulwazi mayelana nokuthi yini ongayilindela ngesikhathi sokuhlinzwa. Uzofunda mayelana nezinketho zakho ze-anesthesia, ukuthi uzohlinzwa isikhathi esingakanani, ungakulindela isikhathi esingakanani esibhedlela, futhi uchithe ukuhlela. Ngemuva kokuhlinzwa, noma ukuthunyelwa, uzonikezwa imiyalo yokuvuselela noma imiyalo yokuya ekhaya.
Yini Engenzeka Izinkinga Ze-Hip Replacement?
Ngokusho kwe-American Academy of Orthopedic Surgeons, isilinganiso sokucindezela ukuhlinzwa okuphelele sokuqashwa kwe-hip sincane. Izimbalwa ezingaphansi kwezingu-2% zeziguli ezinenkinga enkulu, njengokutheleleka okuhlangene . Ukulandela ukuhlinzekwa kwe-hip esikhundleni, ama-clots egazi emilanjeni yomlenze noma i-pelvis yinkinga ejwayelekile kakhulu. Kunezindlela zokwelashwa udokotela wakho angabeka zona ukuze avimbele ama-clots egazi noma abhekane nabo uma benza ifomu.
Ezinye iziguli zithola ukungalingani kwebanga lomlenze emva kokuhlinzwa kwe-hip. Ukufakelwa kwezicathulo kungadingeka ngisho nokuphuma ubude bomlenze. Ezinye izinkinga zingabandakanya:
- ukuhlukanisa
- ukulimala kwegazi noma isisindo segazi
- ukuphuma
- ukuphuka
- ukuqina okunye noma ubuhlungu obusele
Amaphuzu Okumele Akhunjulwe Nge-Hip Replacement
Ngemuva kokuthi ube nenhlanhla ephelele ye-hip, qaphela izici ezithile ezibalulekile zokutakula kwakho:
- Yenza umzimba wakho wokuzivocavoca njengoba uqondiswe umuthi wakho wenyama.
- Ukulinganisela kokuphumula nomsebenzi, ikakhulukazi kuze kube yiminye imikhawulo ephakanyiswa udokotela wakho.
- Landela imiyalelo yokuvimbela ama-clots egazi - uma utshelwe ukuthi ugqoke i-hose support, gqoka i-hose support.
- Yazi futhi uqaphele izimpawu zokutheleleka.
- Lahla ukuphonsa ama-rugs noma izintambo zokwandisa ezingase zenze ukuwa.
- Akukho ukukopela - landela imiyalo kadokotela. Uma utshelwe ukwenza okuthile, kukhona isizathu esizwakalayo saso.
Umthombo:
Ingqikithi ye-Hip Replacement. I-American Academy Yabahlinzeki Bama-Orthopedic. Agasti 2007.
http://orthoinfo.aaos.org/topic.cfm?topic=A00377